Use of technology for self-care in surgical wound infection surveillance: integrative review

ABSTRACT Objectives: to synthesize knowledge about technology for self-care in surgical wound infection surveillance. Methods: integrative review conducted in CINAHL, Embase, LILACS, PubMed, Scopus and Web of Science databases with the descriptors “surgical wound infection” and “self-care”, in addition to manual search in the references of the included studies. The selection and evaluation of the methodological quality of the studies and data collection were performed by two independent reviewers; conflicts were resolved by a third reviewer. Results: nine primary studies were included, published between 2011 and 2019. Six are cross-sectional, two are randomized clinical trials, and one is a case report. Mobile, text messaging, and imaging applications, computer software, assessments, and data storage capacity stand out. Conclusions: the technologies identified for self-care in surgical wound infection surveillance were the creation and use of mHealth and the use of health apps on mobile devices. Effective technologies in surveillance of surgical wound infection that enable rapprochement with the healthcare team, encourage a greater number of surgical wound assessments, enhance self-care actions, and decrease patient anxiety. Technology is also a monitored and recorded form of patient care, one of the main axes of infection surveillance.

摘要

研究目的：系统整合外科手术伤口感染监测领域用于自我照护的技术相关研究成果。

研究方法：本研究采用整合性综述设计，检索CINAHL、Embase、LILACS、PubMed、Scopus及Web of Science数据库，检索词为“手术伤口感染（surgical wound infection）”与“自我照护（self-care）”，同时对纳入研究的参考文献进行手动追溯检索。由两名独立评价者分别完成研究筛选、方法学质量评估及数据提取工作，评价者间出现分歧时，由第三名评价者协调解决。

研究结果：最终纳入9项原始研究，发表时间介于2011年至2019年之间。其中6项为横断面研究，2项为随机对照临床试验，1项为病例报告。纳入研究涉及的核心技术包括移动设备、短信及影像应用程序、计算机软件、评估工具及数据存储功能。

研究结论：本研究明确的外科手术伤口感染监测自我照护相关技术，主要为移动健康（mHealth）技术的构建与应用，以及移动设备上的医疗应用程序。此类用于手术伤口感染监测的有效技术，可拉近患者与医疗团队的距离，提升手术伤口评估频次，强化自我照护行为，并缓解患者焦虑情绪。同时，技术手段亦可作为患者照护的监测与记录载体，是感染监测的核心环节之一。